自体脐带修补先天性腹裂  

Appraisal of the repair gastroschisis with autogenous umbilical cord

作　　者：邵雷朋[1] 侯广军[1] 张二划[1] 耿宪杰[1] 齐林[1] 李骥[1] 郜向阳[1] 黄敏[1] 

机构地区：[1]郑州市儿童医院外科,450053

出　　处：《中华外科杂志》2006年第21期1490-1492,共3页Chinese Journal of Surgery

摘　　要：目的总结自体脐带修补腹裂的临床经验,评价手术疗效。方法共施行婴儿自体脐带修补腹裂22例,对成活的18例进行随访观察,观察体格发育、智力测定、腹部手术区域等情况。结果22例患婴成活18例,成活率82%,成活18例生长发育良好。术后近期均有腹壁疝,9例自愈,2例行腹壁疝修补,7例仍在观察中。结论该手术取材方便,自体脐带无抗原性,具有一定的弹性,能有效地缓解术后腹部压力,成活率高。Objective To review the treatment of repair gastroschisis with autogenous umbilical cord in 13-year and evaluate its effect. Methods Twenty-two newborns who underwent the repair gastroschisis with autogenous umbilical cord between 1992 and 2005. The physical growth, intelligence measuring, area of operation in abdomen in the survived 18 cases were observed and followed-up. Results Eighteen patients recovered uneventfully, survival rate is 82%, their growth is well. They all developed incisional hernia near the operation, 9 cases recovered himself, 2 cases was operated to mend the abdominal hernia, 7 cases is under observed. Conclusions The material is adopted easily in the operating, autogenous umbilical cord is elastic tissue and no toxicity could relax the abdominal press effectively after the operation, the survival rate is high.

关 键 词：腹裂 脐带 疝 腹 

分 类 号：R726.5[医药卫生—儿科]